Wanda Pathomrit, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Van Nuys, California. Her current practice location is
15350 Sherman Way Ste 200, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 267-1100.
Wanda Pathomrit is licensed to practice in California (license number LCSW113153) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205338639.
Healthcare Provider's Profile
Full Name | Wanda Pathomrit |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15350 Sherman Way Ste 200, Van Nuys, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205338639
- Provider Enumeration Date: 03/01/2018
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345605689
- Enrollment ID: I20230420001872
Medical Identifiers
Medical identifiers for Wanda Pathomrit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205338639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ACSW106131 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 69847 (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW113153 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wanda Pathomrit allows following entities to bill medicare on her behalf.
Entity Name | Special Service For Groups |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Pathomrit is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wanda Pathomrit, LCSW 15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458 Ph: () - | Wanda Pathomrit, LCSW 15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458 Ph: (818) 267-1100 |
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